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Concept of nursing theory
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Concept of nursing theory
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Nursing theories are the building blocks of education and practice in everyday patient healthcare. It is the basic concepts that explain why nurses do and provides explanations to their actions. Although many nursing theories do not ring a bell while a nurse is working, they are vital when one is looking to answer why a task is being done in a certain way. The nursing theories that are implemented today all have their roots embedded throughout history. Nursing theories came about as an explanation, reasoning or through research and practice as a way to explain and come up for procedures of healthcare. The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care. “Henderson had the pioneering view that nursing stands separately from medicine and that nursing consists of more than simply following physicians’ orders” (Nicely, & DeLario, 2011). Virginia Henderson’s nursing theor... ... middle of paper ... ... in Transplantation, 21(1), 72-77. Wagner, D., & Bear, M. (2009). Patient satisfaction with nursing care: A concept analysis within a nursing framework. Journal of Advanced Nursing, 65(3), 692-701. Reed PG, The force of nursing theory guided- practice. Nurs Sci Q. 2006 Jul;19(3):225 Works Cited Henderson, V. A. (1961). Basic Principles of Nursing Care. London: International Council of Nurses. Nicely, B., & DeLario, G. T. (2011). Virginia Henderson’s principles and practice of nursing applied to organ donation after brain death. Progress in Transplantation, 21(1), 72-77. Wagner, D., & Bear, M. (2009). Patient satisfaction with nursing care: A concept analysis within a nursing framework. Journal of Advanced Nursing, 65(3), 692-701. Reed PG, The force of nursing theory guided- practice. Nurs Sci Q. 2006 Jul;19(3):225
In particular, the use of Florence Nightingale’s theory of nursing as the basis of my new practice had allowed me to begin with the basics and work my way forward toward a more modern and holistic approach to nursing care. While Florence’s work focused mainly on the military and her care of soldiers, she began to establish schools of nursing to promote nursing education and to encourage people to view nursing as a viable profession, (Alligood, 2014. 63). Nightingale’s focus may have been care of the military, but she made great strides on getting recognition for nursing and her theories still affect the practice of nursing today. In the article, Nurses as Leaders, the author proposes that nurse leaders have made great strides since Nightingale’s time when nurses were conscripted to help care for wounded soldiers. Such a setting required these early nurse pioneers to rely on critical thinking and quick action in order to save lives. The author goes on to discuss how a change in nursing occurred in the early 20th century as new management styles emerged, most notable the “Scientific Management,” model. This style placed doctors at the top, then nurse managers, and on down to bedside care staff. Though this did allow some nurses the ability to move upward, nurses resented a doctor being in charge of their teams as the work of a physician and that of a nurse are two very different practices, ("Nurses as Leaders," 2016). This is quite different from the modern concept of a nurse executive as leader of
“Apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more harm than any exertion. Remember he is face to face with his enemy all the time, internally wrestling with him” (Nightingale, 1992, p. 22). Fortunately, in the nineteenth century, Florence Nightingale recognized uncertainty could cause harm to her patients (Nightingale, 1992). Equally important to the nursing profession are the nursing theorists, their work, and the evolution of the theories that followed Florence Nightingale, the founder of modern nursing (Alligood, 2014). One of the many theorists that followed the founder of modern nursing, Florence Nightingale, was Merle Mishel (Alligood, 2014).
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.).
Clark, P., Leddy, K., Drain, M., Kaldenberg, D. (2007). State nursing shortages and patient satisfaction
Theory’s responsibility is to provide nurses with standards that reinforce practice, as well as, for future nursing understanding and delivery. Basically, it provides nursing professionals with a tested way of thought on how to handle certain situations with proven results. The importance of nursing theories to nursing research is the knowledge offered gives nurses the foundation for communicating with others and best practice. Middle range theory according to McEwen & Wills (2011, p 35) are theories that have concrete concepts, that are specific, incorporate a measured number of concepts and characteristics of the real world and are tested for accuracy.
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
Nursing theory is an important part of the nursing profession. Nursing theory serves as a guide to assessment, intervention and evaluation of patient care. Theory provides the basis, or framework, of the nursing profession and helps to show the unique qualities of the profession (Chamberlain College of Nursing, 2015). Nursing is a profession that’s guided by structure, discipline and dedication. Nursing theory provides criteria by
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
Paradigm is a sum of a person’s belief as well as the understandings of any facts and experience that he/she comes across. In nursing science, the paradigm addresses the most abstract set of central concepts include: the person, environment, health, and nurse perception towards a patient. For the nurse, paradigm creates a nursing frame work that “provides comprehensive perspective for nursing practice” (Alligood, 2014, p.45). Nursing theories are developed from this frame work and these theories are the guiding structures of nursing practice, postulate the focus for the delivery of nursing care, critical thinking, and decision making. These theories may develop from “a philosophy, a nursing model, a more abstract nursing theory, or a framework from another discipline” (Alligood, 2014, p.43).
Nursing theory is, “the principle that underpin practice and help to generate further nursing knowledge” (Colley, 2003, p. 33). Nursing theory is important in nursing practice. The two theorists that are relevant to my nursing practice are Florence Nightingale and Hildegard Peplau. Florence Nightingale theory was about the patient having a clean and healing environment (Smith & Park, 2015, p. 51). The theory that Hildegard Peplau created was the importance of nurse-patient relationships (Smith & Park, 2015, p. 68). Both of these theories put the patient’s safety and care first. When I am at work I try to form a healthy and healing relationship with all my patients. I also make sure the environment that they are in is conducive to healing, it is hard to do that sometime working in the emergency room. Sometimes it is the little things that a nurse can do for a patient that will make all the difference. Taking both of these theories into
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.